Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2023

Accounting Policies [Abstract]

Schedule of Revenues from Third Party Payers, Uninsured and Other Payers

Our revenues by primary third-party payer classification and other (including uninsured patients) for the years ended December 31, are summarized in the following table (dollars in millions):

	Years Ended December 31,
	2023		Ratio			2022		Ratio			2021		Ratio
Medicare	$	10,585		16.3	%	$	10,447		17.3	%	$	10,447		17.8	%
Managed Medicare		10,496		16.2			9,201		15.3			8,424		14.3
Medicaid		3,606		5.6			2,636		4.4			2,290		3.9
Managed Medicaid		3,879		6.0			3,998		6.6			3,124		5.3
Managed care and other insurers		31,819		49.0			29,120		48.3			30,295		51.6
International (managed care and other insurers)		1,509		2.3			1,317		2.2			1,336		2.3
Other		3,074		4.6			3,514		5.9			2,836		4.8
Revenues	$	64,968		100.0	%	$	60,233		100.0	%	$	58,752		100.0	%

Schedule of Estimated Cost of Uncompensated Care

A summary of the estimated cost of total uncompensated care for the years ended December 31, follows (dollars in millions):

	2023			2022			2021
Patient care costs (salaries and benefits, supplies, other operating    expenses and depreciation and amortization)	$	55,341		$	51,180		$	49,074
Cost-to-charges ratio (patient care costs as percentage of gross    patient charges)		10.5	%		11.0	%		11.3	%
Total uncompensated care	$	35,426		$	31,734		$	29,642
Multiply by the cost-to-charges ratio		10.5	%		11.0	%		11.3	%
Estimated cost of total uncompensated care	$	3,720		$	3,491		$	3,350